Pizza Shuttle

Business Account Application Form

Pizza Shuttle Business Accounts are open to business customers who have ordered a minimum of five times from Pizza Shuttle prior to setting up the account. A valid order history will be verified before your business account application is approved. If your business has placed at least five orders, but from different phone numbers, please list those numbers in the Alternate Phone field below. Invoices will be sent 3-7 business days after order was delivered.

*Required

Email address *

Business Information

Business Name *

Address (Street, City, State, Zip) *

Billing Information

Billing Preference *

Billing Contact Name

Title

Phone Number

Billing Email Address *

Billing Address Same as Business Information *

Yes No

Billing Address (Street, City, State, Zip) *

Authorized Account Users Please list all names and titles of the individuals authorized to order under this Business Account.

Authorized Account Users

Are you Tax Exempt? If yes, please provide tax exemption certificate to [email protected] *

Yes No

Payment Information Business accounts must be paid by check. Please make checks payable to: Pizza Shuttle Inc. P.O. Box 428 Wales, WI 53183-0428

I Agree to the Terms of Agreement

Electronic Signature *

Title *

Date *

Contact Us: Please contact our business office with any billing and account inquiries. Email: [email protected] Phone: 414-220-9215. A copy of your responses will be emailed to the address that you provided.

OPEN FROM LUNCH 'TIL LATE!

WE DELIVER

SET UP A BUSINESS ACCOUNT TODAY!

JUST FILL OUT THE FORM BELOW

Catering Menu

Business Account Application Form

Business Account Application Form

Business Information

Billing Information

I Agree to the Terms of Agreement

Contact Info
Contact Info
Address:	1827 N Farwell Ave
City, State & Zip	Milwaukee, WI 53202
Phone:	This will trigger a call to 414-289-9993 on mobile phone.
Email:	[email protected]